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Work Activity Work Order �'"� ' <br /> _/�„z�:= :9 � io <br /> Issued By HLJ HUSBV, LANCE J. <br /> Is�ued Department Pw PUBLIC WORKS <br /> Oate Issued anar2o�s <br /> Fund a0� Account s Program Funct�on Achwty <br /> Program UT3471 5 3 <br /> Title CONVERT 75 INCH 1815 COLBY AVE UT3473-5-3 <br /> work Order No 20150925 Pro�ect Activ�ty Type CORREGTIVE tJJ�INTE�ANC[ Sta,us a <br /> Slatus an3iz0�5 Time ce �3 Original VJO Bilhng _ ___ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Streei <br /> Apartment No City <br /> State Z�P <br /> Subdivis�on Change Map Y!N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) • E�R <br /> GMa�I Address <br /> Problem Iniormation <br /> Address f8�5 Street COLBYAVE <br /> From Cross Slreet <br /> To Cross Street <br /> Ciiy Zip <br /> Subdiwsion Map Book Map Reference <br /> Probtem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Initia(ed From <br /> Utility Locate(USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Depi Pnority Estnnated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By , <br /> Assi ned Date To Be Comp Da�c <br /> 9 -- ,r7 j '!��t��A�i`� ��;���;�t;� <br /> Scheduled Date Scheduled Time __ . <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH GURBSTOP TO.751NCH SETTER WITH METER ANO BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY.LANCE J. JOb Cost It1(O�fnaliOn(YM) <br /> Start Date � � Time Dale Completed an3not5 Permit No _ <br /> Completed 8y Time Follow Up� <br />